Reliability and concurrent validity of a mobile application to measure thoracolumbar range of motion in low back pain patients

Macedo, Liane de Brito; Borges, Daniel Tezoni; Melo, Samara Alencar; Costa, Karinna Sonálya Aires da; Sousa, Catarina de Oliveira; Brasileiro, Jamilson Simões

doi:10.3233/bmr-181396

Cited by 17 publications

(13 citation statements)

References 28 publications

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“…21 Since our individuals were not engaged in workrelated activities requiring upper-limb exertion, despite exhibiting scapular dyskinesis, their spine mobility presented, in general, a similar pattern to that of other asymptomatic and young individuals. 35,36 Our individuals with and without scapular dyskinesis neither showed differences in the strength of cervical and trunk muscles. To our knowledge, this is the first study that has investigated alterations in cervical muscles strength in individuals with scapular dyskinesis.…”

Section: Discussionmentioning

confidence: 79%

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Analysis of the spine posture, mobility and strength in healthy individuals with and without scapular dyskinesis

et al. 2021

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Spine posture, mobility and strength can be associated with changes in scapular movement and shoulder pain. However, these aspects have not been assessed in healthy individuals with scapular dyskinesis without shoulder and/or back pain. Objective: To analyze spine posture, mobility and strength in healthy individuals with and without scapular dyskinesis. Method: Cross-sectional study, fifty-two college-aged individuals were divided into two groups, according to scapular dyskinesis testing: a group without scapular dyskinesis (n= 19; age= 22.95±2.86 years; BMI= 22.97±3.12 kg/m²; 10 males) and another with scapular dyskinesis (n= 33; age= 22.06±2.73 years; BMI= 22.14±3.22 kg/m²; 10 males). Posture of the head and shoulders was analyzed from photographs by a postural assessment software (PAS/SAPO). Thoracic kyphosis and range of motion of the cervical and thoracolumbar spine were measured by a digital inclinometer, and the strength of the cervical and thoracolumbar spine muscles by a hand-held dynamometer. Intergroup comparison for all the variables was conducted using analysis of variance (one-way ANOVA), considering p≤0.05 as significant. Results: No intergroup difference was found for spine posture (p= 0.18-0.99), mobility (p= 0.23-0.96) and strength (p= 0.42-0.99). Conclusion: Spine posture, mobility and strength do not differ between healthy individuals with and without scapular dyskinesis. The outcomes suggest that scapular dyskinesis may be related to interpersonal variations. Future prospective studies be conducted in order to verify if these variables can change and influence the development of shoulder pain.

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Section: Discussionmentioning

confidence: 79%

“…For lateral flexion, they were asked to slide their hand down the side of their leg as far as possible while maintaining their trunk and head facing forward (Figure 2-I). 36 Each movement was performed twice at the individual's desired speed. 36…”

Section: Range Of Motion (Rom)mentioning

confidence: 99%

Analysis of the spine posture, mobility and strength in healthy individuals with and without scapular dyskinesis

et al. 2021

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“…Smartphone apps used as an evaluation tool seems promising for pain evaluation [23][24][25][26] and is contradictory for spinal ROM measurements. 16,[27][28][29] Indeed, technical aspects of such measurement are complicated: controlling all potential error sources in a multi-segmental movement is challenging. This observation is consistent with other spinal ROM measurement studies also indicating contradictory results.…”

Section: Discussionmentioning

confidence: 99%

“…A total of 14 studies used smartphone apps as an evaluation tool including pain evaluation, [23][24][25][26] ROM measurement, 16,[27][28][29][30] 6-min walk test 31 and clinical or functional evaluation. 17,[32][33][34] Considering pain evaluation, PainMAP showed excellent intra-and inter-rater reliability and good validity for quantifying the number of pain sites…”

Section: Use Of Smartphone Apps For Evaluationmentioning

confidence: 99%

“…27 By contrast, de Brito Macedo et al, reported good concurrent validity and intra-rater reliability of smartphone thoracolumbar ROM measurements versus a digital inclinometer. 29 Lumbar ROM measurement with a smartphone detected a significant difference due to manual therapy and exercise intervention in another study. 28 Similar findings were further summarized in systematic review showing contradictory results of psychometric properties of the lumbar spine ROM and lordosis measurements with a smartphone app.…”

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confidence: 91%

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Smartphone applications are used for self-management, telerehabilitation, evaluation and data collection in low back pain healthcare: a scoping review

et al. 2022

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Background: Technological developments have accelerated notably in the field of telecommunications in the last few decades. Smartphone use has grown in providing healthcare for patients with low back pain (LBP), but the literature lacks an analysis of the use of smartphone apps. This scoping review aimed to identify current areas of smartphone apps use for managing LBP. We also aimed to evaluate the current status of the effectiveness or scientific validity of such use and determine perspectives for their potential development. Methods: We searched PubMed, PEDro and Embase for articles published in English up to May 3rd, 2021 that investigated smartphone use for LBP healthcare and their purpose. All types of study design were accepted. Studies concerning telemedicine or telerehabilitation but without use of a smartphone were not included. The same search strategy was performed by two researchers independently and a third researcher validated the synthesis of the included studies. Results: We included 43 articles: randomised controlled trials (RCTs) (n=12), study protocols (n=6), reliability/validity studies (n=6), systematic reviews (n=7), cohort studies (n=4), qualitative studies (n=6), and case series (n=1). The purposes of the smartphone app were for 1) evaluation, 2) telerehabilitation, 3) self-management, and 4) data collection. Self-management was the most-studied use, showing promising results derived from moderate- to good-quality RCTs for patients with chronic LBP and patients after spinal surgery. Promising results exist regarding evaluation and data collection use and contradictory results regarding measurement use. Conclusions: This scoping review revealed a growing scientific literature regarding the use of smartphone apps for LBP patients. The identified purposes point to current scientific status and perspectives for further studies including RCTs and systematic reviews targeting specific usage. Caution should be taken to monitor the impact of smartphone-related compulsive behaviour.

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Motor alterations in the kinetic chain in individuals with chronic shoulder pain

Maciel

Sousa

2022

Gait & Posture

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Reliability and concurrent validity of a mobile application to measure thoracolumbar range of motion in low back pain patients

Cited by 17 publications

References 28 publications

Analysis of the spine posture, mobility and strength in healthy individuals with and without scapular dyskinesis

Analysis of the spine posture, mobility and strength in healthy individuals with and without scapular dyskinesis

Smartphone applications are used for self-management, telerehabilitation, evaluation and data collection in low back pain healthcare: a scoping review

Motor alterations in the kinetic chain in individuals with chronic shoulder pain

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